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Ann Thorac Surg 2002;74:306-307
© 2002 The Society of Thoracic Surgeons

Editorial

The next steps for pediatric tracheal reconstruction

Thomas F. Tracy, Jr, MD*a

a Division of Pediatric Surgery, Department of Surgery, Hasbro Children’s Hospital, and Brown Medical School, Providence, Rhode Island, USA

* Address reprint requests to Dr Tracy, Pediatric Surgeon in Chief, Hasbro Children’s Hospital, Room 147, 593 Eddy St, Providence, RI 02903 USA

The first 20% of the full text of this article appears below.

Pediatric surgeons, thoracic surgeons, and pediatric otolaryngology (head and neck) surgeons uniformly find the greatest challenges in and often form the closest relationships with patients who have tracheal anomalies. Knowing everyone from the registration staff to the critical care personnel, these patients and their families become part of the fabric of children’s surgical centers. The routine, sometimes daily, endoscopy that is part of diagnosis and follow-up becomes an elegant exercise practiced by all airway surgeons and their staff that blends technique, technology, experience, and judgment. The truth remains that for all operative airway maneuvers, other important elements include tricks, wishful thinking, hope, and luck. Any organ that can respond to the exact same operative intervention in totally disparate ways leading to malacia or restenosis, and anything in between, does not present a level playing field. Surgeons and families should never feel comfortable with success or resignation after failure. Even with that uncertainty and uneasiness, committed, focused airway surgeons and investigators must analyze every . . . [Full Text of this Article]






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Copyright © 2002 by The Society of Thoracic Surgeons.